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Rowelma McGraw

Inspection · 2024-09-12

Date
2024-09-12
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 9/12/2024, as a part of the licensure period. The on-site inspection began at 9:20 AM and ended at 10:50 AM. The inspector reviewed compliance in the areas listed above. There were 8 children present and 1 caregivers; the point total was 17. The inspector reviewed 5 children?s records and 2 provider/household records. This inspection included:
? document review (i.e. Injury logs, authorization forms),
? tour of the facility,
? interview, and
? observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 09/19/2024. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 8VAC20-800-240-A
Based upon observation, the provider has not ensured that areas both inside and outside are maintained to be safe.
Evidence:
There is poison ivy coming through the back fence in the back yard where children play.
Plan of Correction: The facility responded with the following:
Cut and checked right away that day after my work hours.
Standard 8VAC20-800-460-J
Based upon observation, the provider has not ensured that animal excrement is promptly removed and disposed of properly.
Evidence:
When the children went out to the back yard to play, a child was observed using a play shovel and bucket to remove dog excrement from the rubber mulch area around the swings.
Plan of Correction: The facility responded with the following:
I fixed the gate that make sure pets can't poop anymore at the playground.
Standard 8VAC20-800-570-A
Based upon observation, the provider has not ensured that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed.
Evidence:
There were 8 children in care during the inspection. Seven of the children were between the ages of two year and four years, totaling 14 points. Child 5, twenty months old, counts as 3 points, bringing the total points in care with the provider alone to 17 points, one point over the allowable 16 points.
Plan of Correction: The facility responded with the following:
My husband will be my assistant part time
Standard 8VAC20-800-60-B
Based upon review of children's records, the provider has not ensured that each child's record includes the child's first date of attendance and the names, addresses and telephone numbers for two emergency contact persons other than the parents.
Evidence:
1. The record provided for child 5 did not include the child's first date of attendance.
2. The record provided for child 2 did not include the street addresses of the emergency contacts. The record provided for child 1 did not include the street address of one emergency contact.
Plan of Correction: The facility responded with the following:
I corrected and filled up all missing informations to the childs record.
View original record on Virginia Department of Social Services